| NPI | 1386882322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH W MICHIENZI Owner 305-662-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME99835) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2019-08-12 |